Five-year results of a randomized clinical trial comparing a polypropylene mesh with a poliglecaprone and polypropylene composite mesh for inguinal hernioplasty.

Hernia : the Journal of Hernias and Abdominal Wall Surgery
K BuryPolish Hernia Study Group

Abstract

The aim of this study was to assess whether partially absorbable monofilament mesh could influence postoperative pain and recurrence after Lichtenstein hernioplasty over the long term. Patients were randomized into two groups that were treated with lightweight (LW) or heavyweight (HW) mesh in 15 centers in Poland. A modified suture technique was used in the lightweight mesh group. Clinical examination was performed. A pain questionnaire was completed five years after the surgery. Of the 392 patients who underwent surgery, 161 (90.81 %) of 177 in the HW group and 195 (90.69 %) of 215 in the LW group were examined according to protocol, a median of 62 (range 57-66) months after hernia repair. There was no difference in the recurrence rate (1.9 % LW vs. 0.6 % HW; P = 0.493). There were 24 deaths in the follow-up period, but these had no connection to the surgery. The patients treated with LW mesh reported less pain in the early postoperative period. After five years of follow-up, the intensity and the presence of pain did not differ between groups (5 patients in the LW and 4 patients in the HW group). Average pain, (VAS score), was also similar in the LW and HW group (2.25 vs. 2.4) at the fifth year postoperatively. The use of par...Continue Reading

References

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Aug 10, 2000·The British Journal of Surgery·UNKNOWN EU Hernia Trialists Collaboration
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Mar 26, 2011·Hernia : the Journal of Hernias and Abdominal Wall Surgery·M SmietańskiUNKNOWN Polish Hernia Study Group

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Citations

Mar 22, 2014·Hernia : the Journal of Hernias and Abdominal Wall Surgery·M MiserezM P Simons
Sep 17, 2013·The Surgical Clinics of North America·Leandro Totti Cavazzola, Michael J Rosen
Nov 17, 2015·Postgraduate Medicine·Ceith Nikkolo, Urmas Lepner
Mar 2, 2016·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·C NikkoloU Lepner
Sep 21, 2017·Praxis·Joël L LavanchyGuido Beldi
Jan 14, 2018·Hernia : the Journal of Hernias and Abdominal Wall Surgery·UNKNOWN HerniaSurge Group
Jun 6, 2018·Hernia : the Journal of Hernias and Abdominal Wall Surgery·G KöhlerA Szyszkowitz
May 12, 2017·Innovative Surgical Sciences·Wolfgang Reinpold

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